APPLICATION FOR OSHPD SPECIAL SEISMIC CERTIFICATION PREAPPROVAL (OSP)

Transcription

1 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION APPLICATION FOR OSHPD SPECIAL SEISMIC CERTIFICATION PREAPPROVAL (OSP) OFFICE USE ONLY APPLICATION #: OSP OSHPD Special Seismic Certification Preapproval (OSP) Type: New Renewal Manufacturer Information Manufacturer: IT Division Manufacturer s Technical Representative: Jose Muniz Mailing Address: Via de la Innovacion #408, Parque PIIT Apodaca, NL. CP Mexico Telephone: x Jose.Muniz@schneider-electic.com Product Information Product Name: Product Type: InfraStructure (ISX) PDU Power Distribution Unit Product Model Number: See Certified Product Table attached (List all unique product identification numbers and/or part numbers) General Description: Infrastructure (ISX) power distribution units ranging from 20kVA to 175kVA. Seismic enhancements made to the UUTs & modifications required to address anomalies observed during the tests shall be incorporated into the production units. Mounting Description: Rigidly floor mounted Applicant Information Applicant Company Name: IT Division Contact Person: Mailing Address: Jose Muniz Via de la Innovacion #408, Parque PIIT Apodaca, NL. CP Mexico Telephone: x Jose.Muniz@schneider-electic.com I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, Signature of Applicant: Date: 12/8/2016 Title: Regulatory Compliance Engineer Company Name: IT Division Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 12/16/15) Page 1 of 3 03/10/2017 OSP Page 1 of 13

2 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION California Licensed Structural Engineer Responsible for the Engineering and Test Report(s) Company Name: Forell/Elsesser Engineers, Inc. Name: Marco Scanu, SE California License Number: S4454 Mailing Address: 160 Pine St., 6 th Flr., San Francisco, CA Telephone: (415) m.scanu@forell.com Supports and Attachments Preapproval Supports and attachments are preapproved under OPM- (Separate application for OSHPD Preapproval of Manufacturer s Certification (OPM) of Supports and attachments is required) Supports and attachments are not preapproved Certification Method Testing in accordance with: Other (Please Specify): ICC-ES AC156 Testing Laboratory 1 Company Name: Contact Name: Wyle Laboratories Rod Thornberry Mailing Address: 7800 Hwy 20, Huntsville AL Telephone: (256) Testing Laboratory 2 Company Name: Contact Name: Dynamic Certification Laboratories Kelly Laplace Mailing Address: 1315 Greg Street, Suite 109, Sparks, NV Telephone: (775) kelly@shaketest.com Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 12/16/15) Page 2 of 3 03/10/2017 OSP Page 2 of 13

3 Seismic Parameters OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION Design in accordance with ASCE 7-10 Chapter 13: Yes No Design Basis of Equipment or Components (Fp/Wp) = 1.04 SDS (Design spectral response acceleration at short period, g) = 1.39 ap (In-structure equipment or component amplification factor) = 2.5 Rp (Equipment or component response modification factor) = 6.0 Ω0 (System overstrength factor) = 2.0 Ip (Importance factor) = 1.5 z/h (Height factor ratio) = 1.0 Equipment or Component Natural Frequencies (Hz) = Overall dimensions and weight (or range thereof) = See attachment, UUT Summary Sheets See attachment, Certified Products Table Equipment or grade designed in accordance with ASCE 7-10 Chapter 15: Yes No Design Basis of Equipment or Components (V/W) = SDS (Design spectral response acceleration at short period, g) = SD1 (Design spectral response acceleration at 1 second period, g) = R (Response modification coefficient ) = Ω0 (System overstrength factor) = Cd (Deflection amplification factor) = Ip (Importance factor) = 1.5 Height to Center of Gravity above base = Equipment or Component Natural Frequencies (Hz) = Overall dimensions and weight (or range thereof) = Tank(s) designed in accordance with ASME BPVC, 2015: Yes No List of Attachments Supporting Special Seismic Certification Test Report(s) Drawings Calculations Manufacturer s Catalog Other(s) (Please Specify): Certified Products Table, Certified Subcomponents Table, UUT Summary Sheets OSHPD Approval (For Office Use Only) Approval Expires on December 31, 2022 Signature: Date: 3/10/17 Print Name: M. R. Karim Title: SHFR Special Seismic Certification Valid Up to : SDS (g) = 1.39 z/h = 1.00 Condition of Approval (if applicable): Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 12/16/15) Page 3 of 3 03/10/2017 OSP Page 3 of 13

4 - InfraStructure (ISX) PDU I. Certified Product Table System Units Width Depth Height Max. Weight ISX PX 20kVA 23.5in 35.6in 81.5in 1188lb ISX 10U RDP, 28.8kVA, 208 V 23.5in 34.5in 81.5in 600lb ISX PDU 40kVA, 208:208V, MBP 23.5in 34.5in 81.5in 1188lb ISX PDU 40kVA, 208:208V, MBP 23.5in 34.5in 81.5in 1580lb ISX PDU 40kVA, 208:208V, MBP, No Xfmr 23.5in 34.5in 81.5in 1150lb ISX PDU 40kVA, 480:208V, MBP 23.5in 34.5in 81.5in 1580lb ISX PDU 40kVA, 600:208V, MBP 23.5in 34.5in 81.5in 1580lb ISX PDU 60kVA, 208:208V 23.5 in 34.5in 81.5in 1070lb ISX PDU 60kVA, 208:208V 23.5 in 34.5in 81.5in 1225lb ISX PDU 60kVA, 208:208V, No Xfmr 23.5 in 34.5in 81.5in 775lb ISX PDU 60kVA, 480:208V 23.5 in 34.5in 81.5in 1225lb ISX PDU 60kVA, 600:208V 23.5 in 34.5in 81.5in 1225lb Construction Material 1 SKU # Testing Status NEMA 1 ISX20K20F 58640R11-5 UUT-1 NEMA 1 PDRDPF10U-R Interpolated NEMA 1 PD40F6FK1-M 58640R11-3 UUT1 NEMA 1 PD40F6FK1-M Interpolated NEMA 1 PDRPPNX10-M Interpolated NEMA 1 PD40G6FK1-M Interpolated NEMA 1 PD40L6FK1-M Interpolated NEMA 1 PD60F6FK UUT-2 NEMA 1 PD60F6FK1 Interpolated NEMA 1 PDRPPNX10 Interpolated NEMA 1 PD60G6FK1 Interpolated NEMA 1 PD60L6FK1 Interpolated 1. CFS=Cold Formed Carbon Steel 03/10/2017 OSP Page 4 of 13

5 - InfraStructure (ISX) PDU I. Certified Product Table System Units Width Depth Height Max. Weight ISX 5U Modular RDP, 72kVA, 208V 24.0 in 42in 78in 327lb ISX PX MBP, 100kVA, 208V 12.0 in 42.0 in 78.0 in 380lb ISX Modular PDU, 144kVA, 480:208V 24.0 in 42.0 in 78.0 in 2150lb ISX Modular PDU, 144kVA, 600:208V 24.0 in 42.0 in 78.0 in 2150lb ISX PDU, 150kVA, 84 pole 24.0 in 42.0 in 78.0 in 2150lb ISX Modular PDU, 175kVA, 480:415V 24.0 in 42.0 in 78.0 in 2000lb ISX Modular PDU, 175kVA, 480:415V 24.0 in 42.0 in 78.0 in 2150lb ISX PDU 150kVA, 480:208V 29.5 in 35.4 in 81 in 2150lb Construction Material 1 SKU # Testing Status NEMA 1 PDPM72F-5U Interpolated NEMA 1 SYMBP100F Interpolated NEMA 1 PDPM150G6F Interpolated NEMA 1 PDPM150L6F Interpolated NEMA 1 PDPB150G6F Interpolated NEMA 1 PDPM175G6H UUT-1 NEMA 1 PDPM175G6H Interpolated NEMA 1 PD150G6F 58640R11-4 UUT-1 1. CFS=Cold Formed Carbon Steel 03/10/2017 OSP Page 5 of 13

6 - InfraStructure (ISX) PDU II. Certified Subcomponents Table Internal Components Manufacturer Part # Testing Status Frame 12"Wx42"Dx78"H Schneider Electic 0M A Interpolated 0G-AR3100 Interpolated 0M UUT-1 24"Wx42"Dx78"H Schneider Electic 0M Interpolated 0M Interpolated 0M-11082A Interpolated 58640R11-5 UUT-1, 23.5"Wx34.5"Dx81.5"H Schneider Electic 58640R11-3 UUT-1, 0M-1326B UUT-2 0M-3106D Interpolated 29.5"Wx34.5"Dx81"H Schneider Electic AR2381BLKX R11-4 UUT-1 Power Distribution R11-5 UUT-1 Panel Board 42-Poles, 225A R11-3 UUT UUT R11-3 UUT-1 Panel Board 42-Poles, 400A R11-4 UUT-1 Busbar 200A (5U) 0M UUT-3 Busbar 400A (RPP) 0M-9744 Interpolated 0M UUT-1 Protection and Disconnections Disconnect Switch, 3P, 100A R11-5 UUT-1 Disconnect Switch, 3P, 150A Interpolated A Interpolated Disconnect Switch, 3P, 225A 58640R11-3 UUT-1, A UUT-2 Circuit Breaker, 4P, 150A A 58640R11-3 UUT-1 Circuit Breaker, 3P, 175A UUT-2 Circuit Breaker, 3P, 200A A 58640R11-4 UUT A 58640R11-3 UUT-1, Circuit Breaker, 3P, 225A R11-4 UUT-1 Circuit Breaker, 3P, 400A A 58640R11-4 UUT R11-5 UUT-1, PD1P20SD Branch Breaker, 1P, 20A 58640R11-4 UUT-1 Branch Breaker, 2P, 20A PD2P20SD 58640R11-4 UUT-1 Branch Breaker, 3P, 20A PD3P20SD 58640R11-3 UUT-1, 58640R11-4 UUT-1 Branch Breaker, 2P, 30A PD2P30SD 58640R11-4 UUT-1 Branch Breaker, 3P, 50A PD3P50SD 58640R11-4 UUT-1 Branch Breaker, 3P, 80A PD3P80SD 58640R11-5 UUT-1 Branch Breaker, 3P, 150A Interpolated Interpolated Circuit Breaker, 3P, 250A Interpolated Interpolated R11-5 UUT UUT-1 Circuit Breaker, 3P, 400A Interpolated Interpolated Interpolated Circuit Breaker, 4P, 400A Interpolated Circuit Breaker, 3P, 600A UUT-1 03/10/2017 OSP Page 6 of 13

7 - InfraStructure (ISX) PDU II. Certified Subcomponents Table Internal Components Manufacturer Part # Testing Status Circuit Breaker, 4P, 600A UUT-1 Transformers LVT, 208:208, 60kVA Philippine Electric Corporation (PhEC) B 58640R11-3 UUT-1 LVT, 480:208, 60kVA Philippine Electric Corporation (PhEC) B Interpolated LVT, 600:208, 60kVA Philippine Electric Corporation (PhEC) B Interpolated LVT, 208:208, 150kVA Philippine Electric Corporation (PhEC) Interpolated LVT, 480:208, 150kVA Philippine Electric Corporation (PhEC) Interpolated A 58640R11-4 UUT-1 LVT, 600:208, 150kVA Philippine Electric Corporation (PhEC) Interpolated LVT, 480:415, 175kVA Philippine Electric Corporation (PhEC) Interpolated LVT, 208:208, 60kVA UUT-2 LVT, 480:208, 60kVA Interpolated LVT, 600:208, 60kVA Interpolated LVT, 208:208, 150kVA Interpolated LVT, 480:208, 150kVA Interpolated LVT, 600:208, 150kVA Interpolated LVT, 480:415, 175kVA UUT-1 Miscellaneous (Power) 0G-SYBTU R11-5 UUT-1 Battery unit 0G-SYBTU2 Extrapolated 1 Power Module 10kVA 0G-SYPM10KF 58640R11-5 UUT-1 0G-SYPM10KF2 Extrapolated 1 Static Bypass Switch 0G-SYSW40KF 58640R11-5 UUT-1 Assembly for Static Bypass Switch 0M R11-5 UUT-1 Miscellaneous (Control) 58640R11-5 UUT-1, 0G-9215RM-A 58640R11-4 UUT-1, 58640R11-3 UUT-1, Display Assy. (20char X 4lines) UUT UUT-1, 0G-9233 Display Assy. (122 X 32 dot) UUT R11-4 UUT-1, 0M R11-3 UUT-1, PCB Type XPDU MR1 + PS UUT-2 PCB Type XRDP MR1 0G UUT-3 PCB Type XRDP MR2 0G UUT-1 PCB Type X84P MR2 0G Interpolated PCB Metering + PS 0G-SY2CSPS 58640R11-5 UUT-1 PCB Type ISX 0G-SYCDCI 58640R11-5 UUT-1 Intelligence Module 0G-SYMIM R11-5 UUT R11-3 UUT-1, R11-4 UUT-1, 1Pole, 15A Control Breaker Airpax UUT-2 3Pole, 5A Control Breaker Schneider UUT-3 1Pole, 5A Control Breaker Schneider UUT-1 24VDC (3200rpm) Fan NMB R11-5 UUT-1 120VAC, 50/60Hz ( rpm) Fan EBM Interpolated 240VAC, 50/60Hz ( rpm) Fan EBM UUT-1 240VAC, 50/60Hz ( rpm) Fan EBM B 58640R11-4 UUT-1 Note 1: Structurally identical to tested unit except for branding. 03/10/2017 OSP Page 7 of 13

8 OSP APPLICATION InfraStructure (ISX) PDU III. UUT Summary Sheets Date: 2/18/2017 Test Report 58640R11-5 UUT-1 InfraStructure ISX PX 20kVA PDU ga Cold Formed Steel, NEMA 1 24 W x 36 D x 82 H 1,188 lbs Floor mounted using (4) ½ 13 Grade 5 bolts Building Code Test Criteria ICC-ES CBC 2016 AC 156 Natural Frequencies F-B S-S V SDS (g) z/h Horizontal AFLX-H (g) ARIG-H (g) Vertical AFLX-V (g) ARIG-H (g) Test Results The UUT maintained structural integrity and functionality after the AC156 test. UUT full of contents during testing. Subcomponents 23.5"X34.5"x81.5"H Frame Panel Board 42-Poles, 225A Disconnect Switch, 3P, 100A Branch Breaker, 3P, 80A Circuit Breaker, 3P, 250A Battery unit Power Module 10kVA Static Bypass Switch Assy for Static Bypass Switch Display Assy. (20char X 4lines) Intelligence Module PCB Metering + PS PCB Type ISX Branch Breaker, 1P, 20A Manufacturer Part # 0M-1326B PD3P80SD G-SYBTU1 0G-SYPM10KF 0G-SYSW40KF 0M G-9215RM-A 0G-SYMIM4 0G-SY2CSPS 0G-SYCDCI PD1P20SD 24VDC (3200rpm) Fan NMB /10/2017 OSP Page 8 of 13

9 OSP APPLICATION InfraStructure (ISX) PDU III. UUT Summary Sheets Date: 2/18/2017 Test Report 58640R11-4 UUT-1 InfraStructure ISX PDU 150kVA ga Cold Formed Steel, NEMA W x 35 D x 82 H 2,150 lbs Floor mounted using (4) ½ 13 Grade 5 bolts Building Code Test Criteria ICC-ES CBC 2016 AC 156 Natural Frequencies F-B S-S V SDS (g) z/h Vertical AFLX-V (g) ARIG-H (g) Test Results The UUT maintained structural integrity and functionality after the AC156 test. UUT full of contents during testing. Subcomponents 29.5"Wx34.5"Dx81"H Frame Panel Board 42-Poles, 400A Circuit Breaker, 3P, 200A Circuit Breaker, 3P, 225A Circuit Breaker, 3P, 400A Branch Breaker, 3P, 20A Branch Breaker, 3P, 50A Branch Breaker, 2P, 20A Branch Breaker, 2P, 30A XFMR LVT, 480:208, 150kVA Display Assy. (20char X 4lines) PCB Type XPDU MR1 + PS 1Pole, 15A Control Breaker Branch Breaker, 1P, 20A 240VAC, 50/60Hz ( rpm) Fan 03/10/2017 Horizontal AFLX-H (g) ARIG-H (g) Manufacturer PHILIPPINE ELECTRIC CORPORATION AIRPAX EBM OSP Part # AR2381BLKX A A PD3P20SD PD3P50SD PD2P20SD PD2P30SD A 0G-9215RM-A 0M PD1P20SD B Page 9 of 13

10 OSP APPLICATION InfraStructure (ISX) PDU III. UUT Summary Sheets Date: 2/18/2017 Test Report 58640R11-3 UUT-1 InfraStructure ISX PDU 40kVA ga Cold Formed Steel, NEMA 1 24 W x 36 D x 82 H, 1,188 lbs Floor mounted using (4) ½ 13 Grade 5 bolts Building Code Test Criteria ICC-ES CBC 2016 AC 156 Natural Frequencies F-B S-S V SDS (g) z/h Vertical AFLX-V (g) ARIG-H (g) Test Results The UUT maintained structural integrity and functionality after the AC156 test. UUT full of contents during testing. Subcomponents 23.5"X34.5"x81.5"H Frame Panel Board 42-Poles, 225A Panel Board 42-Poles, 225A Disconnect Switch, 3P, 225A Circuit Breaker, 3P, 200A Circuit Breaker, 4P, 150A Branch Breaker, 3P, 20A XFMR LVT, 208:208, 60kVA 1Pole, 15A Circuit Breaker Display Assy. (20char X 4lines) PCB Type XPDU MR1 + PS 03/10/2017 Horizontal AFLX-H (g) ARIG-H (g) Manufacturer PHILIPPINE ELECTRIC CORPORATION AIRPAX OSP Part # 0M-1326B A A A PD3P20SD B G-9215RM-A 0M-5103 Page 10 of 13

11 Test Report UUT1 Power Distribution Unit 175kVA PDPM175G6H 24 W x 42 D x 79 H, 2000 lbs. Floor mounted using: (8) ½ diameter Grade 5 bolts OSP APPLICATION Date: 2/18/2017 InfraStructure (ISX) PDU III. UUT Summary Sheets Building Test S DS Horizontal Vertical z/h Code Criteria (g) A FLX-H (g) A RIG-H (g) A FLX-V (g) A RIG-H (g) CBC 2016 ICC-ES AC Natural Frequencies Test Results F-B S-S V The UUT maintained structural integrity and functionality after the AC156 test. UUT full of contents during testing. Subcomponents Manufacturer Part # 24"X42"x78"H Frame 0M Busbar assembly 0M-8747 Circuit breaker 600A Circuit breaker 400A Circuit breaker 600A Xfmr 175kVA 480D 415Y Display assembly 0G-9233 PCB Type XRDP MR2 0G-9357 Circuit breaker 1Pole, 5A Fan 240VAC, 50/60Hz ( rpm) EBM Industries, Inc PDM 20A PDM3520 PDM 20A PDM1320 Seismic kit SYOPT600 03/10/2017 OSP Page 11 of 13

12 Test Report UUT2 Power Distribution Unit 60kVA PD60F6FK1 24 W x 36 D x 81 H, 1070 lbs. Floor mounted using: (4) ½ diameter Grade 5 bolts OSP APPLICATION Date: 2/18/2017 InfraStructure (ISX) PDU III. UUT Summary Sheets Building Test S DS Horizontal Vertical z/h Code Criteria (g) A FLX-H (g) A RIG-H (g) A FLX-V (g) A RIG-H (g) CBC 2016 ICC-ES AC Natural Frequencies Test Results F-B S-S V The UUT maintained structural integrity and functionality after the AC156 test. UUT full of contents during testing. Subcomponents Manufacturer Part # 23.5"X34.5"x81.5"H Frame 0M-1326B Panel board 42-poles, 225A Xfmr 60kVA 208D 208Y Circuit breaker 175A Switch 225A A Display assembly 0G-9215RM-A Circuit breaker 1Pole, 15A Airpax PCB Type XPDU MR1 + PS 0M-5103 Seismic kit SYOPT015 03/10/2017 OSP Page 12 of 13

13 Test Report UUT3 Power Distribution Unit 72kVA PDPM72F-R 24 W x 43 D x 78 H, 420 lbs. Floor mounted using: (8) ½ diameter Grade 5 bolts OSP APPLICATION Date: 2/18/2017 InfraStructure (ISX) PDU III. UUT Summary Sheets Building Test S DS Horizontal Vertical z/h Code Criteria (g) A FLX-H (g) A RIG-H (g) A FLX-V (g) A RIG-H (g) CBC 2016 ICC-ES AC Natural Frequencies Test Results F-B S-S V The UUT maintained structural integrity and functionality >33 after the AC156 test. UUT full of contents during testing. Subcomponents Manufacturer Part # Enclosure Netshelter SX 0G-AR3100 Enclosure 5URDP 0G-PDP72F-5U Busbar 200A 0M-9684 Display assembly 0G-9233 PCB Type XRDP MR1 0G Circuit breaker 3Pole, 5A Seismic kit AR7701-S 03/10/2017 OSP Page 13 of 13